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KMID : 1031020210270010026
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Quality Improvement in Health Care
2021 Volume.27 No. 1 p.26 ~ p.42
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Hospital Nurses’ Experience of Patient-Centered Nursing
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Chung Soo-Jin
Hwang Jee-In
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Abstract
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Purpose: This study aimed to explore frontline nurses’ experience of patient-centered care and understand the factors affecting its implementation in hospitals.
Methods: Four focus group interviews were conducted with 30 nurses in two university hospitals. The following theoretical framework of patient-centered care was used: 1) Respect for patients' values, preferences, and expressed needs, 2) Care coordination and integration, 3) Information, communication, and education, 4) Physical comfort, 5) Emotional support and alleviation of fear and anxiety, 6) Involvement of family and friends, 7) Care transition and continuity, and 8) System issues. We performed a directed content analysis.
Results: The most frequent patient-centered nursing practices of the hospital nurses were “promoting physical comfort” in inpatient settings and “providing information and communicating” in outpatient settings. The factors influencing patient-centered nursing included the health professionals' mindfulness, work overload and staff shortage, and unreasonable social demands and regulations.
Conclusion: A more comprehensive patient-centered nursing practice should be implemented by improving “care transition and continuity,” “family/caregiver involvement,” and “system building.” Health professionals' mindfulness is significant, and organizational supports addressing work overload and staff shortage are needed alongside change in social awareness.
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KEYWORD
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Patient-centered care, Nurses, Hospital, Focus group
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FullTexts / Linksout information
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Listed journal information
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